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Diane Vaughan and the normalization of deviance

32 点作者 samueladam将近 6 年前

3 条评论

PaulHoule将近 6 年前
Vaughn&#x27;s &quot;normalization of deviance&quot; involving the space shuttle was a top-down process of &quot;We have a list of unacceptable risks that we have to accept, and having meetings to manage these.&quot; Given that the shuttle had fundamental flaws (e.g. it was the only manned space vehicle that didn&#x27;t have an escape system) that was the best they could do other than deciding that they weren&#x27;t going to fly it.<p>It was inevitable, however, that one of the unacceptable risks was going to bite them, and it did, twice.<p>The term &quot;normalization of deviance&quot; is frequently used in the health care context to describe something entirely different, a bottom-up process. That is, nurses and doctors don&#x27;t wash their hands, skip steps, etc. Upper levels of the institution might fail to control this behavior, but it&#x27;s a different horror.
closeparen将近 6 年前
The flip side of the normalization of deviance is the normalization of policies and procedures that have no regard for on-the-ground reality. Sometimes eliminating deviance is a devastating form of labor action: <a href="https:&#x2F;&#x2F;en.m.wikipedia.org&#x2F;wiki&#x2F;Work-to-rule" rel="nofollow">https:&#x2F;&#x2F;en.m.wikipedia.org&#x2F;wiki&#x2F;Work-to-rule</a>
kryogen1c将近 6 年前
To quote from a paper I read and love but cannot find, Meditations and Reflections of a Naval Reactors Engineer (i would pay money for):<p>Because everyone cares deeply about about their jobs, mistakes tend to be either extremely subtle or extremely glaring.<p>Normalization of deviance leads to the latter, although for different reasons. It is to prevent things like this that the nuclear navy forces people to rotate commands every few years.